ALICE STRIDE (NPI# 1639496599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639496599 |
| Entity Type | Individual |
| Full Name | ALICE STRIDE |
| Credential | CPO |
| Practice Address |
1520 Roosevelt Ave Suite 105 Mount Vernon WA 98273-2685 |
| Mailing Address |
1300 44th St Se Everett WA 98203-2200 |
| Practice Telephone | 3604166505 |
| Practice Fax Number | 3604168241 |
| Mailing Telephone | 4253392559 |
| Mailing Fax Number | 4253391583 |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2011-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 222Z00000X | Orthotist | OI00000116 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 224P00000X | Prosthetist | PS00000117 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1520 ROOSEVELT AVE SUITE 105 |
| City | MOUNT VERNON |
| State | WA |
| Zip Code | 98273-2685 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245384148 | Cornerstone Prosthetics and Orthotics Inc | Prosthetic/Orthotic Supplier | 1520 Roosevelt Ave, Mount Vernon, WA 98273-2685 | 2007-01-22 |
| 1659918589 | Hong Kang | Orthotist | 1520 Roosevelt Ave, Mount Vernon, WA 98273-2685 | 2019-12-10 |
| 1730423054 | Rosie Garcia | Orthotic Fitter | 1520 Roosevelt Ave, Mount Vernon, WA 98273-2685 | 2012-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585849 | Stephanie Marie Partington | Physical Therapist | 1901 Hoad Road, Mount Vernon, WA 98273 | 2020-10-12 |
| 1447866165 | Jennifer I Campos | Interpreter | 1501 Sunset Pl., Unit B, Mount Vernon, WA 98273 | 2020-09-17 |
| 1487217345 | Nicholas Peter Goodman | Student in an Organized Health Care Education/Training Program | Attn: Internal Medicine Residency, 300 Hospital Parkway, Mount Vernon, WA 98273 | 2019-04-17 |
| 1023579430 | Joan Watkins Opyr | Registered Nurse | Telecare North Sound E&t, 7825 North Sound Drive, Sedro-woolley, WA 98273 | 2019-03-28 |
| 1588136188 | Nicholas Bryan Corp | Physical Therapy Assistant | 1901 Hoag Road, Mount Vernon, WA 98273 | 2018-12-20 |
| 1518437300 | Eyonna Mason | Case Manager/Care Coordinator | 1100 52nd St, Mount Vernon, WA 98273 | 2018-12-05 |
| 1023515400 | Evergreen Recovery Centers | Substance Abuse Rehabilitation Facility | 1905 Continental Place, Mount Vernon, WA 98273 | 2018-04-11 |
| 1104320480 | Stacy Anne Black | Marriage & Family Therapist | 2301 Old Hwy 99, Mt. Vernon, WA 98273 | 2018-03-21 |
| 1609387844 | Kerri Jesse | Massage Therapist | 210 N 23rd St, Mount Vernon, WA 98273 | 2017-10-16 |
| 1992225320 | Juana Cleek | Registered Nurse | 330 Pacific Place, Mount Vernon, WA 98273 | 2017-06-27 |
| Find all providers in zip 98273 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043785777 | Natalie Kirsten Harold | Prosthetist | 123 2nd Ave S Ste 200, Edmonds, WA 98020-8449 | 2018-10-09 |
| 1497129092 | Stevie Stephens | Prosthetist | 723 Mlk Jr Way, Tacoma, WA 98405 | 2015-11-19 |
| 1427243468 | Andrew J Lind | Prosthetist | 401 S Sherman St, Spokane, WA 99202-6001 | 2007-09-12 |
| 1508057845 | David M Kelly | Prosthetist | 1900 116th Ave Ne Ste 201, Bellevue, WA 98004-3013 | 2007-08-01 |
| 1093891616 | Virginias Feminine Boutique, LLC | Prosthetist | 3627 152nd St Ne, Marysville, WA 98271-8944 | 2006-10-27 |
| 1912081860 | American Artificial Limb Co | Prosthetist | 650 S Orcas St, Suite 100, Seattle, WA 98108-2654 | 2006-10-25 |
| 1487631586 | Michael Philip Podrasky | Prosthetist | 1420 4th St Se, Ste D, Puyallup, WA 98372 | 2005-12-29 |
| 1891394086 | Janae Christine Buchan | Prosthetist | 2621 Ne 134th St Ste 120, Vancouver, WA 98686-3036 | 2020-10-20 |
| 1164020426 | Sarah Mccarthy Cheever | Prosthetist | 4575 Sand Point Way Ne, Seattle, WA 98105-3950 | 2020-10-09 |
| 1720612450 | Sean C Hails | Prosthetist | 1901 S Cedar St Ste 202, Tacoma, WA 98405-2303 | 2020-03-03 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT VERNON |
| Zip Code | 98273 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.